| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $918.60 | $918.60 | $918.60 | |
Medica
| Facility | $112.70 | $671.76 | $12,000.00 | |
Medica
| Professional | $4,284.00 | $4,284.00 | $4,284.00 |
Change Nephrostomy/Pyelostomy Tube
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $918.60 | $918.60 | $918.60 | |
Medica
| Facility | $112.70 | $671.76 | $12,000.00 | |
Medica
| Professional | $4,284.00 | $4,284.00 | $4,284.00 |